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Adam S. Gorra, MD; Derek Mittleider, MD; David E. Clark, MD, MPH; Michael Gibbs, MD

Arch Surg. 2009;144(3):279-281.

ABSTRACT
Isolated injury to mesenteric vessels in blunt trauma is uncommon. Most patients with these injuries present with abdominal pain, shock, or laboratory evidence of bowel and/or liver ischemia. We report herein the case of a man with asymptomatic isolated celiac artery dissection after blunt trauma suspected by screening abdominal computed tomography and confirmed by catheter-based angiography. The patient was treated with 3 months of oral anticoagulation alone.

Author Affiliations: Departments of Surgery (Drs Gorra and Clark), Radiology (Dr Mittleider), and Emergency Medicine (Dr Gibbs), Maine Medical Center, Portland.

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